Organization
NORTHWEST FOOTCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN D WILHELM DPM (MANAGING PHYSICIAN)
(541) 385-7129
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE, STE 280, BEND, OR 97702
(541) 385-7129
(541) 385-7138
Mailing address
1693 SW CHANDLER AVE, STE 280, BEND, OR 97702
(541) 385-7129
(541) 385-7138
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213406
—
OR
01
—
865318000
BLUE CROSS
OR
01
—
DD4584
RAILROAD MEDICARE
OR
Enumeration date
08/13/2006
Last updated
02/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us